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Comparison of lead failure manifestation of Biotronik Linox with St. Jude Medical Riata and Medtronic Sprint Fidelis lead

  • Anna Lam
  • Stefan Buehler
  • Eleni Goulouti
  • Romy Sweda
  • Andreas Haeberlin
  • Argelia Medeiros-Domingo
  • Helge Servatius
  • Jens Seiler
  • Samuel Baldinger
  • Fabian Noti
  • Hildegard Tanner
  • Laurent RotenEmail author
MULTIMEDIA REPORT
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Abstract

Purpose

To compare lead failure manifestation and lead performance of the Biotronik Linox/Sorin Vigila defibrillator lead (Linox group) with the St. Jude Medical Riata/Riata ST (Riata group) and Medtronic Sprint Fidelis defibrillator leads (Fidelis group).

Methods

We assessed the performance of all aforementioned leads implanted at our center and investigated the manifestation of lead failures.

Results

Of 93 Linox, 86 Riata, and 81 Fidelis leads implanted at our center, 11 (12%), 22 (26%), and 25 (31%) leads failed during a median follow-up of 46, 61, and 84 months, respectively. Inappropriate shocks were delivered in 64% (Linox), 5% (Riata), and 32% (Fidelis) of lead failures; a device alert was noted in none (Linox), 5% (Riata), and 52% (Fidelis); and lead failure was a coincidental finding in 36% (Linox), 91% (Riata), and 16% (Fidelis) of cases (p < 0.001). Non-physiological high rate signals were observed in 73% (Linox), 27% (Riata), and 80% (Fidelis) of lead failures (p = 0.001) and damaged lead integrity was found in 36% (Linox), 73% (Riata), and 24% (Fidelis) of cases (p = 0.064). Lead survival at 5 years was 88%, 92%, and 71% for Linox, Riata, and Fidelis group, respectively.

Conclusions

The most frequent clinical manifestation of lead failure was inappropriate shocks for Linox, coincidental finding for Riata and device alert for Fidelis leads. Non-physiological high rate signals were frequently observed in Linox and Fidelis lead failures whereas in Riata lead failures, a damaged lead integrity was the predominant finding.

Keywords

Defibrillator lead Lead failure Linox Riata Sprint fidelis 

Abbreviations

CRT

Cardiac resynchronization therapy

Fi

Sprint Fidelis

ICD

Implantable cardioverter defibrillator

Li

Linox/Vigila

Ri

Riata/Riata ST

SJM

St. Jude Medical

Notes

Acknowledgments

We would like to thank Dik Heg for the assistance in the statistical analysis of this study.

Compliance with ethical standards

The study was conducted in accordance with the local institutional committee on human research and national regulatory authorities.

Conflict of interest

A. Lam received an educational grant from the “Swiss Heart Rhythm Foundation” for a fellowship at the Hôpital Haut-Lévêque, CHU de Bordeaux, Bordeaux-Pessac, France. A. Haeberlin has received travel and educational support from Medtronic. A. Medeiros-Domingo has received travel support from Amgen. J. Seiler has received travel educational support from Biosense Webster and his spouse is an employee of Boston Scientific. S. Baldinger has received travel support from LivaNova. L. Roten has received travel support from Biosense Webster and Boston Scientific. St. Buehler, E. Goulouti, R. Sweda, F. Noti, H. Servatius, and H. Tanner have no disclosures.

Supplementary material

10840_2018_486_Fig2_ESM.png (1.6 mb)
Supplementary Figure 1

Updated flow chart of lead status of our Linox/Vigila lead population with regard to our original publication.12 Lead failures that occurred additionally since our original publication are highlighted (dark red). (PNG 1612 kb)

10840_2018_486_MOESM1_ESM.tif (127 kb)
High resolution image (TIF 127 kb)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Anna Lam
    • 1
    • 2
  • Stefan Buehler
    • 1
  • Eleni Goulouti
    • 1
  • Romy Sweda
    • 1
    • 3
  • Andreas Haeberlin
    • 1
    • 3
  • Argelia Medeiros-Domingo
    • 1
  • Helge Servatius
    • 1
  • Jens Seiler
    • 1
  • Samuel Baldinger
    • 1
  • Fabian Noti
    • 1
  • Hildegard Tanner
    • 1
  • Laurent Roten
    • 1
    Email author
  1. 1.Department of Cardiology, Inselspital, Bern University HospitalUniversity of BernBernSwitzerland
  2. 2.Electrophysiology and Ablation Unit, Bordeaux University Hospital (CHU) and IHU Liryc, Electrophysiology and Heart Modeling InstituteFondation Bordeaux UniversityBordeauxFrance
  3. 3.ARTORG Center for Biomedical EngineeringUniversity of BernBernSwitzerland

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